The psychiatric-mental health nurse is performing the admission assessment of a client who is being admitted for depression and anxiety. The client reports a long history of excessive alcohol use and the recent loss of her job. When the nurse asks whether she has a religious preference or affiliation, the client states. "I used to believe in God, but I do not anymore. I do not understand how God can allow terrible things to keep happening to me.' Which nursing diagnoses will the nurse include in the client’s care plan?
Risk for lack of faith
Risk for spiritual distress
Risk for impaired religiosity
Risk for impaired spirituality
The Correct Answer is B
The client's statement about losing faith in God and not understanding how God could allow bad things to happen to her suggests that she is experiencing spiritual distress. This can be common among individuals experiencing depression and anxiety, as they may struggle to find meaning or purpose in their lives.
Option a, Risk for lack of faith, is not a recognized nursing diagnosis.
Option c, Risk for impaired religiosity, may be more appropriate for a client who has experienced a significant change in their religious practices or beliefs but does not necessarily indicate distress.
Option d, Risk for impaired spirituality, could be appropriate but may be too broad and not specific enough to the client's situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse has violated the mayor's right to privacy and confidentiality by disclosing his medical information to a third party without his consent. This action can lead to a charge of breach of confidentiality.
Additionally, the statement made by the nurse could be considered defamatory as it is likely to harm the mayor's reputation and could be interpreted as an accusation of a crime or moral wrongdoing. Therefore, the nurse could be charged with defamation of character. False imprisonment and batery are not relevant to the situation described.
Correct Answer is C
Explanation
Countertransference occurs when a healthcare provider unconsciously redirects their own feelings and emotions onto their client. This can be triggered by similarities between the client and someone from the provider’s past or present, or by similarities between the client’s situation and the provider’s own experiences. In this case, if the nurse and client have similar histories, it may trigger countertransference in the nurse.
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